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Pregnancy BleedingDuring Your Twin Pregnancy

Vaginal pregnancy bleeding or spotting is very common in the first
trimester of a twin pregnancy, and is not always cause for concern. Even
more commonly seen in women expecting twins is spotting in early
pregnancy as your body adjusts to a multiple pregnancy. Some women may
even bleed at the scheduled time of their next period and may not know
they are expecting.

Another reason for light bleeding in early pregnancy is when the
babies are implanting into your uterus, this usually happens between 8 -
12 days after conception.

It is however important
to immediately consult with your doctor with any type of bleeding
(hemorrhaging) at any time during pregnancy.

Pregnancy Bleeding – First Trimester

Miscarriage

Often women who experience bleeding during the first trimester
will suspect a miscarriage, this is not always the case. However you
should always contact your doctor with any signs of pregnancy bleeding.
They will be able to determine through a series of questions they ask
you if there is a problem or not.

A miscarriage is something we all worry about whether we are
having multiples or one baby, it occurs before the 20th week of
pregnancy and in about 20% of all pregnancies. A twin pregnancy
increases the chance of miscarriage due to the fact there are two babies
who could have a chromosomal abnormality, which is the cause.

Every pregnancy is different and some women who have miscarried didn’t
have any spotting at all. Also about 1 in 4 of expectant mothers will
have some type of bleeding during early pregnancy and have perfectly
healthy babies.

Sadly a miscarriage is something you are
unable to prevent or stop, which can be devastating. This of course
doesn’t mean you are unable to have a baby in the future or that you did
anything wrong. All you can do is have a
healthy pregnancy

Ectopic Pregnancy

An
ectopic pregnancy is when an embryo implants outside the uterus like in
the fallopian tube. Other less common places for the implant is the
cervix, ovary and in the stomach area. Ectopic pregnancies occur in
about 2% of all pregnancies.

Women are at greater risk if they
have had an infection of the fallopian tubes, past ectopic pregnancy or
surgery of the fallopian tubes.

Signs and Symptoms of Ectopic Pregnancies:

Vaginal bleeding

Severe lower abdominal pain

HCG levels that don’t rise as they should

Strong pressure on your rectum

Nausea and/or feeling light headed

Molar Pregnancy,

A Molar pregnancy is a rare cause of
early pregnancy bleeding and sometimes referred to as Gestational
Trophoblastic Disease (GTD). This can be discovered through an
ultrasound and a test for hCG levels.

Other Reasons for Pregnancy Bleeding

There are other factors that can cause vaginal bleeding:

Urinary tract infection

Yeast Infection

After intercourse due to a tender cervix

Strong pressure on your rectum

Hemorrhoids

Infection in the pelvic cavity

Pregnancy Bleeding – Second & Third Trimesters

Bleeding during pregnancy in the 2nd and 3rd trimesters should be
taken more seriously and can be detrimental for both mommy and babies.
Any type of bleeding or spotting during this time must immediately be
followed by contacting your doctor.

Here are possible reasons for pregnancy bleeding:

Placenta Previa

Placenta Previa is more common in women having twins or more,
have scarring of the uterine wall due to previous pregnancies or
procedures, or an abnormally developed uterus. This occurs in 1 out of
200 pregnancies.

Placenta Previa is when the placenta grows low down in the womb
covering partially or all of the opening to the cervix. An ultrasound
examination identifies this issue and is not preventable.

Signs and Symptoms of Placenta Previa:

Placenta Previa can be seen on an ultrasound. Vaginal bleeding
can be sudden and painless; occasionally the hemorrhaging (bleeding) can
be quite severe and/or accompanied with cramping. There is a higher
risk with women having twins or higher order multiples.

Placenta Abruption

Placenta
abruption (also known as abruption Placenta) can cause bleeding during
pregnancy. The placenta detaches from the uterine wall prematurely,
before or during labor. Usually placenta abruption occurs in the last
few weeks of pregnancy, affected only 1% of all pregnant women. Symptoms
include bleeding and abdominal pain.

Premature Labor

Bleeding in later pregnancy, may be one of the
signs of labor
having vaginal discharge which could be the mucus plug, also known as a
show. If this happens earlier then the 37th week of pregnancy then
preterm labor
can be of concern and you should contact you doctor straight away.

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